Showing posts with label WRAP. Show all posts
Showing posts with label WRAP. Show all posts

Wednesday, 13 September 2023

Erich Brenn Would Be Proud: How I Keep My Plates Spinning (Mostly)

As regular readers will know, I recently bought a new pair of glasses. I couldn’t be happier but there were a few issues at first. New glasses can lead to headaches until your eyes adjust. The frames sit differently on my face too and I had some pain across the bridge of my nose as they settled into place. They’re fine now but for the first week or two I occasionally reverted to wearing my old glasses for a few hours. Doing so was a trade-off between seeing clearly, and seeing less clearly but with less discomfort.

It got me thinking about how life is often a compromise between caring for some aspects of our health and wellbeing at the expense of others. The trick is not to ignore any one aspect for so long so that it becomes critical. It’s an ongoing challenge to keep all my plates spinning, to borrow an analogy from my friend Maya. If you’re unfamiliar with the reference, check out this video of plate spinning maestro Erich Brenn. My plates are many and varied but I can group them into three categories: physical, mental, and emotional.

Physical

I usually get between six and seven hours sleep a night. This works well enough but leaves me running a slight sleep deficit. I’ve a pretty high tolerance to physical tiredness, but every now and again it catches up with me. My wake up time is dictated by my work schedule, and I hate going to bed early because it always feels like I’m short-changing myself on the day! If I’m really tired I might retire early for a few nights, but that’s about it.

I’m talking here about the kind of physical tiredness that’s refreshed by resting and sleep. Fran and a number of my other friends live with health conditions that often leave them extremely fatigued and low-to-empty in terms of physical and mental energy. For them, rest isn’t a luxury or something that can be indefinitely deferred. It’s an essential part of how they manage their symptoms. That might involve spending hours if not days in bed or on the couch, or withdrawing from all but absolutely essential activities until things improve.

Fran and I sometimes find ourselves in need of rest at the same time, and take the opportunity to share some shut-eye time together on our regular video calls. I wrote about the first time this happened in a blog post about how sharing quiet moments can deepen your friendship. We still do this when we’re tired and in need of a little time out. I find it really helpful. It’s the only time I give myself permission to doze or even close my eyes during the day.

Mental

I’m better at paying attention to my mental health. I tend to notice when I’m getting mentally tired, stressed, or overwhelmed and take steps to reset and recoup my energy and focus. Writing helps, whether it’s blogging or writing my personal journal. That might seem counterintuitive, but working on my latest blog post or exploring things in my journal brings my focus inwards and counters any sense of overwhelm I might be feeling.

Distraction is another useful strategy. Fran immerses herself in Netflix shows when she needs to unwind or escape intrusive or unhealthy thoughts. Other friends stream music and shows in a similar way, or use computer games as a distraction. I’m not into gaming myself, although I’ve found simple colour or shape sorting games helpful in the past. More commonly, I unwind with YouTube videos on topics such as astronomy and physics, mathematics, historical/military documentaries, and air crash investigations. Anything that bears little direct relation to what’s going on in my life at the time.

Emotional

It’s not a good idea to ignore my physical wellbeing as much as I do but I have few physical health issues and find those plates stay up there even when they’re wobbling quite a bit. Mentally, I recover fairly quickly. As long as I stay vigilant to any wobbles, I can give my mental plates a quick nudge now and again and they’ll keep spinning. It’s my emotional crockery that gives me the most concern. That might some as a surprise to some. I remember being told “you never get emotional” which is so far from the truth it would be funny if it wasn’t tragic. My emotional plates and bowls — indeed the entire vintage seventy-two piece bone china dinner service — have often been on the point of crashing spectacularly to the floor. I haven’t always got to them in time.

My key coping strategies are documented in my Wellness And Recovery Action Plan. A WRAP can cover any situations in which we find ourselves struggling or becoming unwell. Mine focuses on my emotional wellbeing because that’s what I struggle with the most. My coping strategies include talking things over with people I trust (but not over-processing); pulling back to assess what’s actually happening; temporarily withdrawing from connections and social media; listing allowed and not allowed behaviour; focusing on writing, blogging, and reading; and reminding myself how my actions are impacting others. Listening to music can be helpful but that depends on the circumstances. Music can soothe, reassure, and distract, but it can also bring memories and emotions to the surface I may not ready to deal with at the time.

Too Many Plates

I’ve focused on how I keep my plates spinning, but sometimes there’s just too much crockery up there! It’s more graceful to catch a few pieces before they fall and set them safely aside, but it’s okay if one or more end up on the floor. Maybe we took on too many tasks at once, either because we overestimated our capabilities or because we were given little opportunity to say no. Maybe we tried to handle just a little too much drama, our own or other people’s. Maybe life simply threw more at us than we could ever hope to keep going at the same time.

It can seem like the end of the world when a plate drops, but it’s rarely as desperate as it appears. Unless everything has utterly collapsed — in which case extreme self-care is what we need before we can ever think of setting up again for another go — there are still plates up there we can attend to. It may even prove easier to attend to those that remain. As for the broken items, there may still be something there worth recovering. An unattended friendship may feel like it’s over, but the break might be repaired and the connection strengthen as a result. That’s happened to me more than once. A health condition might have returned or emerged that appears awful but leads to it being properly diagnosed or treated more effectively. A personal or family crisis or loss might seem impossible to survive, yet we move through it.

The Japanese word kintsugi roughly translates as “joining with gold” and is an ancient repair technique using lacquer dusted with powdered gold to repair broken ceramic vessels. It’s often taken as a reminder that mistakes and damage are a necessary part of life. With care and loving attention they can often be repaired and even celebrated as important stages in our journey. Not all damage can be repaired, of course. Some hurts are too deep and their effects too devastating to be easily fixed or transformed into something valuable and life-affirming. Sometimes all we can do is look at the broken crockery at our feet and hope there’s someone to help us clean up the mess.

Over to You

In this article I’ve shared some of the ways I keep my plates spinning, recognising that there are times it’s neither possible nor healthy to have so many things up there at the same time. We can pay attention to this thing or that thing up to a point but sometimes it’s all too much and we need to set everything down and rest.

One way or another, most of this comes down to self-care. I’ve collected a number of articles on self-care which I find helpful. These cover practical strategies, suggestions for making a difference to your day, kindness and gratitude, music and playlists, getting out and about, and recognising that we don’t have to do everything on our own.

What techniques and strategies do you use when you find your plates wobbling? Do you recognise when you have too much going on and take steps to intervene, or do you tend to press on until everything crashes around you? Fran and I would love to hear your thoughts and ideas, either in the comments below or via our contact page.

 

Photo by Matthew Henry at Burst.

 

Wednesday, 29 September 2021

Return to Down: How My Baseline Mood Has Slipped from Positive to Low

I’ve felt below par mentally for a while now. It’s possible I’ve been depressed, although I’m wary of self-diagnosis and haven’t sought a clinical opinion. I can trace some of it back several years but I’ve only lately felt up to talking about it publically. It’s not that I’ve ignored my mental health altogether. I’m aware of many of my triggers; the situations and events that tend to pull the rug out from under me. I captured the main ones in my Wellness Recovery Action Plan (WRAP) back in 2019, and review it periodically. My triggers include:

  • Changes in relationships (which I tend to perceive as lessening, loss, or abandonment)
  • Uncertainty or lack of clarity in communications
  • Getting overwhelmed by competing demands for my time and attention

My triggered responses include feeling anxious and panicky, a strong sense of loss or abandonment, and becoming either pushy or clingy. My WRAP includes recovery strategies which help me return to my baseline, such as talking things over with Fran and other trusted friends, pulling back to assess what’s happening, and focusing on my writing. These strategies have served me well, until now.

In last week’s blog post, I mentioned feeling flat, low, and empty, but being unable to identify any of my usual triggers. My key friendships and relationships have been solid for a while now, communications are clear and unambiguous, and although there’s been a lot going on, I’ve not felt consciously overstretched. Nevertheless, my mood has often dropped suddenly — at times precipitously — with little or no warning. Something is different but it’s taken me a while to figure out what it might be.

I’ve always believed my emotional and mental health baseline to be essentially positive and healthy. Things might happen at times to upset my equilibrium, but after a shorter or longer period I return to my place of stability and wholeness. Lately, though, this model has been turned on its head. Instead of events and situations disturbing me from an essentially healthy baseline, it feels as though my baseline itself has shifted downwards. Positive events and situations such as meeting up with a friend, or feedback on one of my blog posts — essentially any of the things I was grateful for last week — can lift me up, lighten my mood, or provide an alternative focus for a while. But, once the distraction has passed, I’m pulled back to this low mood baseline. I’m reminded of the rubber band effect Fran uses to describe the “rebound crash of pain and fatigue” she gets with her fibromyalgia if she exercises or exerts herself too much.

No model can be completely accurate, but the best can help us — and others — appreciate what’s happening in our lives. Fran and I have used a variety of models to explore how illness plays out in her life. We describe several in our book, including this layers model:

In terms of responsibility, Fran finds it helpful to acknowledge there is an underlying layer of biological illness. It may respond to clinical intervention, including medication, but she is unable to influence it directly. Above this, there is another layer which Fran can affect, through meditation and mindfulness, exercise, and making healthy choices about her food, drink, and sleeping regimes. Thinking about illness in this way eases the burden of guilt, and allows her to focus her energy where it can be most effective.

I only began explicitly tracking my mood in February 2020, but three times a day for six months I rated my mood on a six-point scale that ran from zero (“struggling”) through “low,” “flat,” “OK,” “baseline/positive,” up to a maximum value of five (“really good”). My healthy-baseline-with-occasional-low-periods model remained valid throughout. Outside events and changes (either real or imagined) in my relationships evoked sudden and occasionally dramatic drops in mood, but I returned to my positive baseline without much trouble or delay. As I noted at the time, “My mood is closely tied in with what’s happening in my life, especially in my key relationships. This isn’t news to me (or my close friends) but the tracker has brought it into clearer focus.”

I haven’t tracked my mood since last August but on that same scale I’d say my baseline has dropped from “positive” to somewhere between “flat” and “low.” That’s a significant shift but how and when did it occur? I found it hard adjusting to working from home and not meeting up with friends during the first covid lockdown, but my baseline held up, as my mood tracker attests. I can think of events towards the end of 2020 that upset my equilibrium and might be significant, but the first clear sign of change is an article I wrote in March this year. In What If I Never Do All the Things I Used to Do? it’s clear I was struggling to remain positive.

At some point, though, it dawned on me that things will never return to how they used to be. The impact of covid, of lockdown, of all the changes we lived through last year and are still living through, is simply too great for us to pick up where we left off. Vaccinations will allow us to move forward but right now, as England begins gradually to open up again, I can only see that many things I valued (and some I took for granted) have already gone beyond any hope of retrieval. Others may resume, but they won’t be the same. I’m not the same. We aren’t the same. How could we be, with all we have gone through?

Contrast that with the robust optimism of “Remember When?” — Building Shared Experience in Unprecedented Times, written one year earlier, a month or so into the pandemic.

It occurred to me that we’re doing more than checking to see people are okay. We’re supporting each other, yes. But even more than that, we’re sharing our experiences in what truly are unprecedented times. [...] There will be tears and pain when we look back on the pandemic of 2020. But there will also be joy and laughter, and the comfort that comes from surviving dark times in good company.

I may revisit these blog posts now things have largely opened up again. I’ve been able to meet up with local friends. I’ve reclaimed a couple of things I feared lost forever and found some new ones. Nevertheless, this lower baseline appears here for good — or bad. However I got here, I need to figure out what that means. In another recent post I shared a little of the changes I’ve noticed in my daily diary:

Looking through my journal, there are things I’m used to hearing from others but have rarely felt — and even more rarely expressed. Have I just been feeling low or is it something more serious? I tend to assume my experiences, dark moods included, scarcely register compared with what others go through. But what if I’ve reached somewhere they would recognise. How would I know?

Feeling low is scarcely unique or unexpected given all we’ve lived through these past eighteen months. It’s unusual and unexpected for me, though. I’ve become much less positive, optimistic, and hopeful than I can remember being in a very long time. In unguarded moments, I’m overwhelmed by a deep, aching emptiness. I can shift my mood, but sooner or later the rubber band takes hold and I find myself back on my new baseline. Is this (to use a term I’ve come to loathe) my “new normal”?

I’m unsure what to do about it. Maybe there’s nothing to be done about it, other than to keep moving and see it through to the other side. Being open about how I’m feeling is part of that. I was chatting with my friend and fellow mental health blogger Aimee Wilson last week:

Hi Marty. What are you up to?

Doing a bit of blogging. The one about my mood shifts.

Are you finding it OK to write about that kind of thing?

It’s not flowing all that well at the moment, but yeah. It feels kinda important and real, yunno?

That’s so good!

Thanks. I’ve learned from the best!

A few days later, we had the opportunity to talk face-to-face. I shared my insight about my baseline shifting downwards, and how I was tryng to figure out what it means. We discussed how people often set their needs aside — sometimes for years — in order to support others who may be in more immediate need. Eventually, though, things may catch up with them to the extent they can no longer be ignored. That was very much the case with my mother. She supported my father for decades as he became increasingly disabled with arthritis. After he died and I left home for university, she devoted herself to supporting other people. Her mental health deteriorated to the point where she was barely able to cope. She spent her final years depressed, anxious, and wracked with guilt for not having done more. At her funeral, the minister praised her as a living saint, but to me, that degree of self-neglect is far from laudable.

Something that feels very relevant is the convenient but problematic labelling of people as either “ill ones” or “well ones” (as Fran and I express it in our book). The distinction has value but it can lead people like me who are relatively well and stable to ignore or downplay signs we’re not doing so well. Aimee and I agreed that health, especially mental health, is not a competition. No one should be shamed or ignored because they imagine they’re struggling less — or more — than someone else.

Things change. Situations and relationships change. Our health changes, sometimes for the better, sometimes not. We all need to pay attention, me included.

This is me paying attention.

 

Photo by Adrian Dascal on Unsplash

 

Wednesday, 18 August 2021

Safety, Responsibility, and Trust: Thoughts Inspired by a Drive with a Friend

I took a drive with a friend the other day. It was the first time I’d been in a private car in over a year and the first time my friend had driven me anywhere. She has yet to pass her driving test and I was there to supervise so she could gain additional practice. We had a great time and I felt completely at ease in the car with her. Thinking about it afterwards, it occurred to me how important safety, trust, and responsibility are in our lives.

Trust and Physical Safety

I was supervising but I was very much in my friend’s hands. I trusted her driving ability and sense of responsibility. If she felt confident behind the wheel, that was good enough for me. No matter how experienced we may be, every driver understands what’s at stake when we start the engine and pull out into traffic. We are responsible not only for our own safety but that of our passengers, other road users, and pedestrians. Many of us drive so frequently we take this for granted but it’s worth reminding ourselves every now and then.

We stopped for lunch, which raised further questions of safety and trust; this time from a covid perspective. Back in March as England began to emerge from lockdown I shared my fears that things would never be the same as in pre-covid days. A few months later, I was struggling mentally, in part because it seemed I had little or nothing to look forward to. I’ve taken a number of steps forward since then. I’ve met with friends a few times, including an urban ramble around Newcastle. I’ve revisited some of my favourite places and spent a day in Edinburgh.

Nevertheless, as we entered the restaurant I felt on edge. Was it covid-safe? Were the tables far enough apart? Were customers and staff wearing masks? Now that rules have been eased, safety is much more a question of responsibility and trust. My friend and I are fully vaccinated. We felt safe in the car without masks but kept the windows open. We wore our masks inside the pub until we found a table, and when ordering at the bar. The place was fairly busy but the tables weren’t too close together and we felt safe. Had we not, we would have gone elsewhere.

Later that day I called into one of my favourite bars. I expected it to be busy but it was literally heaving with people. I used to love the atmosphere but on this occasion, I was uneasy. It may not have been unsafe, but it felt so. I trusted my instinct and came away.

Safety and Challenge

There’s a flip side to all this talk of safety. Many of us deliberately put ourselves in situations where we are — or feel — unsafe or in danger. Whether it’s scary movies, roller coasters, extreme sports, or pursuits like mountaineering or skydiving, we challenge ourselves for kicks or personal growth.

Fran told me recently of a time she was on a wilderness trail and felt unsafe navigating the rocky terrain. It reminded me of the time in the early 1980s when a university friend and I ascended Snowdon, Wales’ highest mountain. Our route included Crib Goch which I’ve since learned is “an adrenaline-fuelled gut-wrenching scary arête [...] not to be undertaken lightly.” My friend was a seasoned hiker and I’d trusted him to choose our route, but I was out of my depth as we picked our way along the ridge, with mist filling the valley on one side and on the other, a clear drop to the rocks below. I’ve never felt as unsafe as I did that day.

A few years ago I did two zip wire slides for charity from Newcastle’s Tyne Bridge. Friends praised my bravery, but in truth, I felt perfectly safe. I trusted the event organisers to know what they were doing and I trusted the safety equipment and procedures. It was scary, but it was safe-scary. Challenges help us expand our horizons, as long as we choose them wisely.

Feeling Safe to Be Ourselves

Another important safety is feeling we can be open and honest without being judged or rejected. This requires trust, in other people and in ourselves, but also the responsibility not to share indiscriminately. As Brené Brown puts it in her book Daring Greatly, “Oversharing is not vulnerability. In fact, it often results in disconnection, distrust, and disengagement.” You can read more about vulnerability vs. oversharing in this excellent article by Hannah Braime.

Our ability to share appropriately can be compromised by illness. Fran experienced this during a period of mania, as we describe in our book High Tide, Low Tide:

In the grip of mania, Fran clamoured for attention, and pushed her ideas at people whether they wanted to listen or not. She was capable of presenting herself with stunning clarity, but at other times her thoughts could be hard to follow. Such behaviour disturbs, worries, and alienates people. Some approached Fran with kindness, but from others there was mistrust and misunderstanding.

I’m fortunate to have friends with whom I feel completely safe, and trust implicitly. I wrote about some of these recently in a post I titled Team Marty because that’s how it feels to have them on my side.

Safety and Trust in Professionals

We have a responsibility to look after ourselves, but our health also depends on our doctors and other professionals. Trust is essential. If we trust the people involved in our care we’re more likely to follow their guidance. That doesn’t mean we should accept things naively or uncritically. As in any profession, mistakes can and do happen and need to be challenged.

When we met in 2011, Fran’s mania was poorly controlled by her prescribed medication. No one was necessarily to blame. Symptoms of bipolar disorder are prone to change over time, requiring adjustments in treatment. Despite all she’s been through, Fran has never lost trust in her clinicians. This is nowhere better expressed than in the open letter she wrote to her psychiatrist when he retired.

Not everyone’s had a positive experience with the medical profession, of course. Chris Good shared his experience with us in a guest post titled Twenty-Plus Years of Misdiagnosis and Incorrect Treatment. Another friend suffered due to a serious dispensing error, as I’ve described previously:

[The] pharmacy stopped dispensing one medication altogether. This wasn’t spotted for some weeks, during which my friend’s stability and safety were severely compromised. It was an error with potentially serious repercussions. Even after the mistake was corrected it took time to restore the full protective benefits of the medication. It’s fair to say my friend will pay very close attention from now on to what is dispensed.

You can read my friend’s account of the incident here.

Safety, Suicide, and Self-Harm

The final aspect of safety, trust, and responsibility I want to discuss is safety from self-harm and suicide. It’s a subject close to my heart. Fran and I devote an entire chapter of our book to it (“The ‘S’ Word: Being There When Your Friend Is Suicidal”). Suicidal ideation is less present for Fran than it used to be, but we remain vigilant. Suicidality and the urge to self-harm are an ongoing or recurrent reality for many, including several of my friends. Information, support lines, and training courses are widely available. I’ve previously pulled together a list of suicide awareness and prevention courses, and you can find further information on our resources page.

Strategies for staying safe are necessarily personal but may include a Wellness Recovery Action Plan (WRAP), Dialectical Behavioural Therapy (DBT), or other techniques. Fran has a personal care manual and travel wellness plan. My friend and fellow mental health blogger Aimee Wilson has written extensively on her use of DBT, including this detailed guide.

What matters most is that the strategies work for the person concerned. For many years, Fran kept a stash of medication. Others might disapprove, but she considered it protective because it filled a need that might otherwise have found expression in more dangerous ways. In her words, “I needed the insurance to escape. Perhaps because this was the only thing in my life I had control over and I needed to do it my way, not everyone else’s way.” As I trusted she would, Fran voluntarily relinquished her stash when the time felt right.

Trust distinguishes caring about someone from worrying about them. These terms are often used interchangeably but there are important differences between them:

When we care about a friend we are expressing our trust in their abilities, strengths, and resilience. We trust ourselves to support them as best we can, and others to contribute as they are able. We don’t feel we have to do it on our own, fix everything, or find all the answers.

When we worry about a friend we express fear that they lack the resources to meet whatever challenges they are facing. We fear we don’t know what we are doing, that we will be found lacking, or not up to the task. We fear others won’t be around to contribute, and we will be left doing everything ourselves.

There Are No Guarantees

It’s worth reminding ourselves that trust and responsibility are no guarantee of safety. All we can do is our best, and all we can expect of others is that they do their best. For me, the clearest example of this is my relationship with Fran. She trusts me to be there for her, to be on her side, to fight her corner, and to always have her best interests at heart. For my part, I trust that I will handle whatever might come up. That doesn’t mean I can or have to handle everything on my own. I’m one member of a team of people — professionals and other friends — Fran trusts to help her stay as safe and as well as possible. I nevertheless accept that no one and nothing can guarantee Fran’s safety. This is nowhere better expressed than in this excerpt from our book:

Fran has told me many times I help keep her alive. There is no objective way to know if that is true, but I take her words at face value. I cannot explain my lack of fear when she is suicidal, but trust is fundamental. [...] It is not that I trust Fran never to try to harm herself, or imagine our friendship guarantees her safety. She has never attempted suicide, but she knows what to do, and I take very seriously any hint she is thinking about hurting herself or ending her life. But I trust her to not hide her suicidal feelings from me, and to be honest with me about them. Ultimately, I trust Fran to allow me to help her stay alive.

Responsibility and Self-care

We all need a hand to hold and people to trust, but it’s important not to rely on the same people all the time. Fran is happy I have others in my life I can turn to because meeting all my needs would be too much. There are times when she needs all her focus and energy to take care of herself, or is simply unable to help me deal with what’s going on for me. She trusts me to do whatever I need to keep myself safe.

Afterword

This discussion might appear to have come a long way from its inspiration in the passenger seat of my friend’s car, but I believe it shows how important safety, trust, and responsibility are. How do these themes play out in your life? Do you have any safety strategies you would like to share? Who do you trust most, and why? We’d love to hear from you.

 

Photo by takahiro taguchi on Unsplash.

 

Wednesday, 16 June 2021

THIS BOY GETS SAD TOO

And I might be okay but I’m not fine at all.

(Elisabeth Wagner Rose / Taylor Alison Swift. “All Too Well.”)

I wrote recently that I’ve never felt part of any group or collective, even those to which I’ve felt the strongest of attractions. As painful as that’s been, does it really matter? So what if I don’t belong to the tribe of writers and poets I’ve met in the past few years? There’s no lasting harm in discovering I’m not a performance artist! Some exclusions, however, are more perilous. Being excluded from my local recovery college for having no lived experience of mental illness was completely justified, but it left me feeling permanently estranged. If I began displaying symptoms of mental ill-health I’d almost certainly play it down. Not from shame, but because I’d be afraid people would think I was faking it, or exaggerating things in order to “join the club.” The irony is, even with a diagnosis I’d probably still feel I had no legitimate right to be there.

I feel a fraud, even admitting this. What right do I have to talk about mental health issues when I’m fine — certainly compared to many of my friends. Except I’m not fine, not all the time. The following lines are from my diary, written a few weeks ago. I’d ventured out to one of my favourite coffee shops for the first time since covid restrictions were lifted.

If I’m honest I’m not feeling much in the mood to be “out and about,” but I’ve made an effort. A decent pair of black trousers, my sage green t-shirt, and my tweed jacket. In my lapel is the BOYS GET SAD TOO pin I bought recently. It doesn’t mean the healthy kind of sadness that arises in response to events. I feel that kind sometimes, of course. It means depression, anxiety, stress, mental ill-health of all kinds. Boys — and men — get that way too. I get that way too. The deeper, pervasive malaise I’ve felt for a while is of that kind. It’s becoming endemic. Part of my emotional landscape. Flat, arid, featureless.

Founded by Kyle Stanger, Boys Get Sad Too (BGST) is a fashion brand working for positive change. (“Sometimes it feels like you’re alone. Boys Get Sad Too is here to show you that you’re not.”) I bought the pin to support their endeavours. I didn’t expect its message to resonate as strongly as it does right now.

In my role as a Mental Health First Aider I’ve attended several calls at work recently where the impact of society’s reopening on our mental health was high on the agenda. I heard many first-hand stories of stress, anxiety and other symptoms exacerbated by the drive to get back into the workplace after months of working from home, furlough, or unemployment.

I learned of a survey by the Mental Health Foundation which reported that three-quarters of UK adults have felt so stressed in the past year they felt overwhelmed or unable to cope. Almost one third said they’d had suicidal feelings as a result of stress, and 16% had self-harmed. The only positive I can take from these numbers is that so many felt able to admit being overwhelmed or otherwise struggling. Is that what I’ve been feeling, I wondered. Not suicidal or at risk of self-harm, but stressed to the point of being overwhelmed?

As well as the article on belonging, in the past month I’ve written about gratitude and ingratitude, and reviewed a new novel that touches on mental illness, stigma, obsession, and identity. I love writing and it’s important to me, but it’s been intense. That’s in addition to my day job in the IT services industry and navigating everything that’s been going on for me and those I’m closest to. And of course, all this has been set against the backdrop of coronavirus, as society takes the next tentative steps towards post-covid normalcy. News and social media channels are full of strident, often contradictory, messages: vaccinations and variants, hope and warnings, “Let’s go!” and “No not yet!” All this takes its toll.

Another of last week’s calls discussed Wellness Recovery Action Plans. I’ve written about these before, and have a WRAP of my own. Writing is a key item in my WRAP toolbox. My journal and the articles I’ve been writing have helped me explore what’s been going on, but there’s more work to be done. This post is part of that journey. I messaged my friend and fellow mental health blogger Aimee Wilson of I’m NOT Disordered about it.

“I feel this article is going to be an important one for me, Aimee. Not necessarily a ‘great blog post’ in its own right, but important for me writing it.”

“They’re the best ones, and your thoughts on the importance of the piece will likely show in your writing.”

I hope so, because I owe it to myself to be as honest about my mental health as Aimee, Fran, and so many others I know are about theirs.

Talking with people I trust is another item in my wellness toolbox. I shared my analogy of a dry, arid landscape with Fran on one of our evening calls. I’m going to expand on it here because it captures how I’ve been feeling.

Imagine you’re standing on a hill looking out across the landscape. No matter how your life is going you can see features dotted here and there. Other hills. Mountains. Lakes. Cities. Rivers. The ocean. These are the events in our futures. Holidays. Birthdays. Vacations. Trips. Appointments. They won’t all be things we’re looking forward to but they’re the landmarks we use to measure our progress through life.

Covid descended like a blanket of fog. We lost sight of many of the things that were out there, but had hope they’d still be there when the fog lifted. The fog has been rolling back for some time now. Lockdown has ended, at least here in the UK. Restrictions are being eased. But as I stand on my hill, I’m searching in vain for things to focus on or move towards. For me right now, the landscape is flat, arid, and featureless. Life on the hill feels very small and lonely, but I’m scared to leave it in case what’s out there is worse.

Fran listened without interrupting. Eventually, I stopped talking.

“Are you depressed?”

I thought for a moment.

“Maybe.”

There was no judgment in Fran’s question. She asked the way she might if I’d described having a sore stomach or a headache. It reminded me of a conversation with Aimee a few weeks ago. On that occasion, I was feeling physically unwell, but Aimee asked something I’d not thought about before.

“Which do you struggle to cope with most? When you are poorly mentally or physically?”

It’s not an easy question to answer. I’m fortunate in having had pretty good mental and physical health all my life. I discussed my experience of illness in our book High Tide, Low Tide:

Looking back, I see I squandered many opportunities to develop a compassionate understanding of illness and its impact. My stoic attitude helped me deal with my own [occasional] ill health, but left me incapable of responding with compassion to the needs of others. I mistakenly believed that caring for someone meant making their pain and hurt go away. It would be many years before I learned to open my heart and simply be there for those I care about. I am still learning.

I believe I have learned to be there for people who are struggling or in need. My friend Jen gave me a great compliment recently when she said “You’re different, Marty. Not many people understand people with mental illness.” Right now, though, I’m being invited me to extend the same compassion and understanding to myself. This wasn’t the first time Fran has suggested I might be going through a period of depression. Others have suggested similarly in the past. I trust my friends. I’m aware I have strong emotional responses to events which can affect me for long periods, and I’ve been anxious several times in the past year. Even so, admitting I’m struggling mentally is new for me and it’s scary.

Returning to Aimee’s question, I’m much more likely to tell someone if I’m unwell physically, than if I’m feeling low, stressed, or anxious. In my article Faking Fine: Why We Fib About How We Are, I described how even Fran was surprised to learn there are things I choose not to share with her.

I have my own reasons for faking fine, although Fran found this hard to believe when I pointed it out to her. She assumed I rarely needed to, or would have anything I needed to fake. I understand why she might think this. I don’t live with illness the way Fran and many of my friends do. There are no serious traumas or crises in my past or present. Fran knows me so well that she can often tell if there’s something up with me, whether I mention it or not. But not always.

It’s valid — even healthy — to not share everything with everyone all the time, but keeping health issues to myself is definitely unhealthy. I’m getting better at being open and honest about it, but there’s still a long way to go. So, what am I going to do about all this? I mentioned my Wellness Recovery Action Plan. Most of the tools and strategies in there are geared towards navigating emotional difficulties. They are arguably less relevant for mental health concerns. So one thing I intend to do is review my WRAP and update it where necessary.

Something my friend Jen said is relevant here. We were talking about how she handles her health issues and she said, “The thing is, I help people when I need help. I’m going to call this one of my superpowers.” I realised I’m that way too. I’m more comfortable being there for other people than dealing with my own issues. That might partly be an avoidance strategy on my part, but being there for people is definitely good for my wellbeing. I gain a lot from the kind of genuine exchanges that underpin any mutually supportive relationship.

That’s important because it goes right back to where I started this discussion — my sense of separation and non-belonging. I’ve considered myself a mental health ally since meeting Fran ten years ago. My left wrist is adorned with nine silicone bands, almost all of which are from mental health organisations or events. I have a collection of mental health t-shirts and wear them proudly, even though I know wearing t-shirts is not enough. My BGST badge is the first mental health item I’ve bought that feels like it’s for me.

Maybe accepting and owning the reality of my mental health story — past, present, and future — will help me find the connection that’s eluded me for so long. Not specifically with or within the mental health community. After all, the most fundamental commonality we share is our humanity. My friend Jen summed it up perfectly: “You’re a human, Marty. We struggle. And it sucks but it’s ok.”

 


Boys Get Sad Too

The following information is from the BGST website.

Boys Get Sad Too aim to raise awareness for the huge percentage of people that struggle with Mental Health issues with conversation provoking designs. The more people talking about the issue the better chance we have of making sure more people are able to see that things can get better with the right support and mindset.

Boys Get Sad Too is not just a clothing brand. It is a community of like-minded people who want to see a positive change in the world. We are official supporters of CALM (The Campaign Against Living Miserably) charity who we donate 10% of our profits to, and we actively work to try and raise awareness for the struggles that men face.

Sometimes it feels like you’re alone. Boys Get Sad Too is here to show you that you’re not.

 

Wednesday, 17 March 2021

Nobody Is Immune from Stress, You Know

In my recent article 11 Things I Am Grateful for This Week I revealed “I’ve been experiencing a good deal of stress lately one way or another.” I thought it would be useful for me — and hopefully interesting for others — to explore what was going on for me at that time and how I handled things.

Why Was I So Stressed?

I sometimes get stressed about work or relationships, but this time the trigger was discovering the hot water tank (immersion heater) at home had stopped working. Looking back, I can see there were several strands to my stress and anxiety. The first was the immediate, practical issue of not having any hot running water and having to find someone to deal with it. I have a poor track record finding reliable tradespeople. I felt under pressure to engage someone who would do a good job for a reasonable price.

There were several other plumbing jobs which needed doing about the house, including drippping taps in the bathroom and kitchen, and a kitchen waste outlet that blocked easily despite my attempts to clear it out. I realised I could probably get these long-standing issues fixed at the same time as the water tank, but I could feel myself getting anxious about other household maintenance I’d put off and spent a long time trying to ignore. I was also scared in case bigger repairs came to light.

Most of all, I felt out of my depth. I couldn’t fix the issue itself and felt unequal to the task of finding people who could and would fix it.

What Actually Happened?

It started on Thursday February 18 when I discovered there was no hot water. I immediately went online (checkatrade.com) and looked for an electrician to see if it could be repaired. One came out on the Saturday. He said the element had burnt out but the tank was so old it needed replacing. To his credit, he wouldn’t take any money for the callout.

I wasn’t surprised. The tank was about thirty years old. It started leaking last year but I couldn’t find anyone willing to replace it. The leak stopped on its own and I pushed it to the back of my mind. I couldn’t ignore it any longer. I went back onling and put in a new job to replace the tank. Two plumbers responded. One seemed particularly keen. I send photos and we discussed what was needed. It was looking good but nothing much happened for a week, despite chasing plumber #1 for a quote. The tank began leaking again, causing damage to the ceiling over the stairs and massively increasing my stress. I isolated and drained the tank.

I tried plumber #2 again. He agreed to call round and quoted for the work within a couple of days. It was more expensive than I’d anticipated but it needed doing. He came on Saturday March 6, replaced the ancient tank with a new hot water cylinder, and also replaced the taps and kitchen waste outlet. From start to end, it had taken sixteen days.

How Did I Feel?

My main symptoms were discomfort and pain in my gut, elevated heart rate, and headaches. They became more persistent and problematic as time went on, and were most severe in the final days before the work was done. This was different from how stress usually affects me; I tend to feel a tightness in my chest and gut but not to this extent. I was very aware my heart was racing much of the time. I checked my heart rate and stress level on my phone and found them much higher than usual. It was disturbing but in a funny way it helped that there was something tangible that validated what I was feeling. It was real. I wasn’t imagining it.

How Did I Handle It?

I took practical steps to mitigate the disruption until things could be fixed. This included buying a water heater to heat water for baths/washing. I also researched as much as I could, which helped me engage with the tradespeople and understand what they suggested.

For the stress itself, I mostly followed the strategies in my Wellness Recovery Action Plan (WRAP). I shared what I was going through with Fran, other close friends, and colleagues including fellow Mental Health First Aiders at work. I also went out for walks (walking is one of my key wellbeing strategies) but the discomfort I was feeling got in the way of walking as much as I might have done.

Watching Grey’s Anatomy with Fran on Netflix helped a lot as a distraction, especially in the evening before I went to bed. Blogging and working on the reprint of our book No One Is Too Far Away also helped, as did exploring my thoughts and feelings in my daily journal. I reminded myself that no one had been hurt and any damage was pretty minimal. (As one of my friends puts it, no one died and no one caught fire.) I focused on things I had to be grateful for, which led to the blog post I mentioned earlier.

I reduced my coffee intake, and turned to peppermint tea when the abdominal discomfort was especially bad. I also cut down on bread to ease the bloating I was experiencing.

How Did Others Respond?

Without exception, the people I confided in listened to my grumbles without judging me or making me feel my issues were less important, serious, or immediate than theirs (although in many cases they were). With some I discussed the practical aspects of the work; what might be up with the water tank, what replacements might be appropriate, and what the work might cost.

Fran, Jen and others were supportive. (Fran had water leaks in her apartment at the time so could empathise on that level too.) Aimee asked if I needed to see a doctor. She didn’t nag me, though, and respected my wish to see if the symptoms eased once the work was done. She also sent me a hot water bottle to ease the pain, which was much appreciated! A conversation with Vikki the day after the work was complete reminded me that stress and anxiety can affect anyone, and ultimately inspired this article.

“I feel a lot less stressy now the work is done. It caught me off guard, how much it affected me, if I’m honest.”

“Nobody is immune from stress, you know.”

“That’s so true, Vikki. I’ve rarely known it affect me so much, though. It’s something for me to watch out for in future. I think it was different this time because it wasn’t something I could deal with directly myself. Also my not feeling confident about finding someone to do the work. (These plumbers were good, though, I would definitely use them again.) I’m looking forward to my walk later!”

I’m grateful to everyone I opened up to. You really helped.

How Do I Feel Now?

It was amazing how quickly the symptoms disappeared. Writing in my journal the day after the work was done I noted that the headaches had gone and I was generally feeling much calmer. As measured on my phone, my stress level and heart rate had returned to their usual levels. It took a day or two for my gut to settle but even in the first 24 hours it was much better than it had been. A week later, none of these symptoms have returned.

Reflection

Looking back, I can see I did some things right. I didn’t ignore the issue, pretend it wasn’t happening, or delay in addressing it. I researched options, engaged with the electrician and plumbers, and was clear and concise describing what I needed them to do. I was open with friends and colleagues which helped a great deal. I didn’t keep it all inside, or pretend things were fine when they weren’t.

Inevitably, there are things I might have done differently. I could have chased the first plumber more when he failed to get back to me. The temptation to let it slide so I didn’t have to deal with things there and then led to several day’s delay overall, and left me feeling less in control than I might have been.

On the whole, I believe I will be better prepared if something like this happens in the future. I can plan for future work and home improvements rather than waiting until things break or need replacing. I already have a list of possible improvements and changes to work with in the coming months. I also intend to review my WRAP plan and update it to include the kind of symptoms I experienced.

Do you suffer from stress and anxiety? Do you know how to minimise its effects on you and move through it as cleanly as possible? Do you have any tips or strategies you would like to share? We would love to hear from you.

 

Photo by zhenhappy on Unsplash

 

Wednesday, 11 March 2020

How to Use a Spreadsheet for Wellness and Self-Care

I rarely feel the need to record my self-care habits, but from time to time I find it helpful to monitor things a little more closely.

For the past ten days Fran has been staying with a friend in Arizona, after which she will visit another friend in Florida. Apart from a few days in between, she will be away from home for almost six weeks.

Although we stay in touch, vacations inevitably mean we are less in contact than usual, which can be hard on us both. I’ve also had a few things going on in my personal life that have affected me deeply. At such times it’s is all too easy to slip into feeling low, so based on my Wellness Recovery Action Plan (WRAP) I decided to use a wellness tracker to keep me in touch with healthy practices and activities.

My Wellness Tracker Spreadsheet

I first tried this back in 2013 when Fran took an extended trip around Europe. On that occasion I used a Google Docs spreadsheet and recorded brief notes about what was happening each day, how much exercise (walking) I did, any creative work such as working on our book, any reading I did (what book and for how long), and whether or not I meditated. This time I’m using an Excel spreadsheet to capture the following information on a daily basis: notes, mood, weight, eating, reading, exercise, creativity, water, and vitamins. Let’s look at these in more detail.

Notes

I use the notes column to record key events or feelings from the day.

Mood

I decided to record how I am feeling three times each day: first thing (plotted in blue), midday (orange), and evening (grey) using a six-point scale:

[5] Really good
[4] Baseline / positive
[3] OK
[2] Flat
[1] Low
[0] Struggling

I have written previously about what I mean by feeling flat.

Weight

I weigh at home each evening and track my weight in a separate spreadsheet (Fran and I have tracked our respective weights now for more than seven years) but I decided to include it in my wellness tracker to see how it relates (or doesn’t) to how I’m doing generally.

Eating

I have included two checks to help keep me on track and avoid any tendency to emotional eating (I am aware I tend to eat less if I’m feeling anxious). I record whether I ate healthily during the day; during the week this means yoghurt or porridge for breakfast and soup or a wrap for lunch. (Evening meals at home are generally healthy.) I mostly want to reinforce positive behaviours and activities, but I have a strong tendency to eat supper late at night. This is unhealthy for me and almost guarantees a gain in weight the following day. Including this in my spreadsheet holds me accountable and means I get to “fess up” to myself if I choose to indulge.

Water

This serves as a useful reminder to drink at least one large mug of water (approx 500 ml) each day in addition to my coffee, rooibos tea — and beer!

Vitamins

I take multivitamins plus minerals, vitamin B complex, vitamin C, and vitamin D tablets — when I remember to! Adding them to my tracker spreadsheet encourages me to take them first thing in the morning.

Reading

I enjoy reading but find it hard to settle into it at home. My best time for reading is on my lunch break at work, so this tracker serves as a reminder to do so. I have been reading an excellent book recommended by a friend: I Hate You – Don’t Leave Me: Understanding the Borderline Personality, by Jerold J. Kreisman and Hal Straus.

Exercise

As I have written elsewhere, walking has played an important role in my life for as long as I can remember, so much so that it was one of the first things I included in the wellness tools section of my Wellness Recovery Action Plan (WRAP). I take a walk after dinner most evenings, either to the local store for groceries or a leisurely wander around the neighbourhood.

Creativity

This tracker reminds me to consider some creative pursuit in my day, which usually involves writing or editing posts for our blog. This is in addition to keeping up to date in my personal journal, which I have kept for over four decades.

Observations and Conclusions

I’ve only used the checklist for a few weeks but it’s proving useful in a number of ways. I’m used to exploring my thoughts and feelings in my journal but this is the first time I’ve explicitly tracked my mood over time. I hadn’t realised how variable it can be throughout the day, how rarely it holds steady for more than a couple of days, and how quickly it bounces back after a setback if I don’t get in its way. It’s also interesting to note that my midday mood is much more stable than either morning or evening.

There’s something of a correlation between my mood and my weight, in that my weight came down during the first week when I was struggling a good deal emotionally. I think that’s largely because I’d started the tracker and was paying attention to what I ate, although as I mentioned earlier I tend to eat less when I’m anxious or stressed. As my mood stabilised my weight increased again. I think I allowed myself to overindulge in response to feeling better, especially with my late-night snacks. Not a healthy response!

My mood is closely tied in with what’s happening in my life, especially in my key relationships. This isn’t news to me (or my close friends) but the tracker has brought it into clearer focus. There’s nothing wrong with “feeling what I feel” of course, as long as I don’t take it out on those around me.

All in all, using my wellness tracker spreadsheet has helped keep me on track with healthy behaviours and highlighted areas to focus on in the future.

As I finish this article, Fran is on her way back from Arizona. It will be great to see her for a few days before her next trip, but I find I’m curious to see how things will go — for her and for me — over the next couple of weeks when she is away again. Whatever happens, I will be tracking things closely and paying attention to my self-care.

Do you track your mood and self-care in any way? If you’d like to write about your experiences with wellness tools, check our guest blogger guidelines and get in touch. We’d love to hear from you!

 

Wednesday, 18 September 2019

Ten Things I Learned about Myself Last Week

It’s been quite a week, one way or another. At times I’ve been as low and despairing as I have in months; at others I’ve felt grounded and whole.

Here are ten things I’ve learned about myself in the process. Maybe some of them will resonate with you too.

1. Things Are Shitty Sometimes

It’s rare for me to feel so low, stressed, or overwhelmed that it interferes with my day-to-day life. Mostly I move through upsets and difficulties fairly smoothly. But sometimes even my tried and tested strategies for making it through bad days fail me.

The best thing I can do then is accept I’m struggling. That’s not easy, because my life is generally stable and secure. I have a home, a family, a job, financial security, amazing friends, and decent health. What is there for me to feel overwhelmed by, anxious or low about? I’m aware of the danger such thinking presents, however. “I’ve no right to be struggling” stops people seeking the help they might need. So yes, my life gets shitty too sometimes.

2. Things Will Shift If You Allow Them To

When you’re in the middle of a bad situation it can seem like you’re stuck there permanently. The lost friendship or relationship is gone for good. The period of difficulty or illness or whatever it might be is never going to end or improve. There”s no hope. What’s the point of even trying to move forward?

When I get to feeling that way it helps to recall times in the past when I felt similarly stuck and remind myself that no situation, good or bad, is permanent. Do whatever you need to hang in there. Change will come all the easier if you’re not holding too tightly to the present situation. As American big-wave surfer Laird Hamilton puts it: “If you just get out of your own way... It is amazing what will come to you.”

3. Sometimes I Need to Put Me First

Friends sometimes ask me if they’re ever a burden. With complete honesty I can say that is NEVER the case. However, there are times when I get triggered or overwhelmed by whatever is going on my life. It’s vital I recognise when that is happening, pay attention to my boundaries, and take whatever steps are necessary to bring myself back to a more secure and stable place. The Wellness Recovery Action Plan (WRAP) workshop I took last year helped me understand this and I turn to my own plan when I start to struggle. I have done in recent months and did so again last week.

4. It’s OK to Ask for Help

Reaching out for help is a crucial step on the road back to stability. What that looks like will depend on your needs and the support network you have in place. I’m blessed in having friends I can be honest and open with, but even so it’s hard for me to “fess up” and ask for help. It gets easier with practice though, which is why that first step — which can feel like a huge leap of faith — is so important. I’m proud that I asked for the support I needed, and grateful to those who were there for me.

5. I Can’t Help Everyone All the Time

Sometimes I have to accept that I’m not the right person to help someone I care about, no matter how much I want to. It doesn’t mean there’s something wrong with me or our relationship, it’s just that I can’t offer what they most need. It’s harder when it’s someone I’ve helped in the past, but needs change and on a different occasion they might need support I’m unable to provide.

Maybe I don’t have the relevant skills, knowledge, or experience. Or maybe I’m unavailable or struggling myself so that I need to put all my energy and focus into self-care for a while. And of course this applies to others too. Their ability to help me depends on my needs at that moment and their personal situation.

All this might seem a sad state of affairs, as though we can’t rely on anyone to be there for us all the time, or rely on ourselves to be there for others. This is true (to pretend otherwise is unrealistic and unhealthy) but if we can face it with compassion the realisation can be deeply empowering. That’s why it’s important to have more than one person in your support network. There are four or five people I trust to be there for me. At any given time some may be unavailable or unable to offer the support I need, but I trust them to tell me if that’s the case.

6. Paying Attention Pays Dividends

There is a line in our book High Tide, Low Tide:

Give people what they need. Not what you need to give them.

This hit home hard recently when I failed to pay attention to what one of my friends needed. Instead of listening to what she asked me to do I took it upon myself to decide what was best. At another time it might have been no more than a minor annoyance to my friend. On this occasion, however, it was deeply unhelpful and hurtful.

And that’s the point. We can’t know when paying attention really matters, so make it your default approach. My friend and I have repaired the damage. We’ve talked it over and are closer for the experience. I’ve already used what I learned to help someone else who was struggling with a similar situation. I’m sad, though, that my friend had to pay the price of my learning something I ought to have known already.

7. Trust Is the Antidote to Fear

Some people wear worry as a badge of honour or as a sign of their commitment — “I’ve been so worried about you!” — but I know how toxic it can be. I learned this with Fran years ago. Don’t worry about me, care about me is the central message of our book High Tide, Low Tide and the foundation of our relationship. The key distinction is that worry is based on fear whereas caring is based on trust. I sometimes lose sight of this, however, as I wrote to a friend recently:

You’ve been so poorly lately and had so much going on for you that at times I have slipped into worry. The stressy, unhealthy worry energy that’s hard to avoid even though I know it doesn’t help anyone. Not you. Not me.

The antidote to fear is trust, and I’ve relearned that this week. I acknowledged what had happened and let go of my need to control things I had no business imagining I could control. I trusted that my friend is doing everything she can to be as well and safe as possible, and that the rest of her support team are there for her. And I renewed my trust in myself, to be the friend she needs me to be. No less, no more.

8. My Mood Is Dependent on My Relationships

A friend recently sent me an article by Angela Theresa titled Six Things Your Borderline Friend Wants You to Know. I was surprised how much of the piece rang true for me; especially the fear of abandonment, the need for validation, and the emotional intensity:

If you are my friend, I am loyal to you. You are beautiful to me. Your accomplishments are poetry. I think you’re fucking amazing. And you’re one of the best friends I’ve ever had.

My intensity has caused me issues in the past. I’m usually too much for people (or not enough, if I have been overcompensating for my tendency to excess). The downside is that I hurt deeply too, but I’m working with that. I still get it wrong more often than I like to admit but I have a small group of close friends with whom I feel safe and able to be myself. I am more grateful to — and for — them than I can ever say.

9. I’m (Still) Not Perfect

At work and outside it, I strive to improve myself. I read. I take courses and attend workshops. I talk with people. I listen. I’ve certainly learned a lot in the past week or so. And yet, I am still not perfect. (Sorry to disillusion you, Fran!) I make mistakes. Only last night a friend pointed out that I wasn’t paying attention to what she was saying. Rather than listening I was leaping in with suggestions and potential “fixes.” She was right to call me out on it and I am grateful to her for doing so.

10. Honesty Can Be Breathtakingly Beautiful

I write a lot about “honesty and openness.” To me these are essential components of any friendship or relationship. I’m not 100% full-on, in-your-face, open with everyone all the time, of course. That would be overwhelming and is what Brené Brown calls floodlighting.

I do, however, aim to be honest with everyone. As I wrote on social media precisely one year ago, “If you can be honest about what you need, that’s a real relationship right there.”

The past week has been characterised by honesty. I was honest with myself and others about the fact I was struggling and needed support. Friends were honest about how they were feeling, including letting me know when I’d contributed to their distress. (Thank you — how else am I to learn?) I was able to hear what was being said and take responsibility for my mistakes and my share of any misunderstandings and miscommunication.

Best of all, I’ve been honest with friends about how important they are to me, and heard how important I am to them. It’s not a sign of insecurity to value such moments. They can be breathtakingly beautiful. As I told one friend the other day, “I’m glad we can be honest with each other like this. It doesn’t happen with everyone and it’s lovely.”

 

Wednesday, 11 September 2019

Ten Ways to Turn a Bad Day Around

There’s nothing inherently wrong with having a bad day. It’s natural, I would even say healthy, for our mood to fluctuate in response to whatever is going on around us. On the other hand, no one wants to stay stuck in a rut.

Here are ten techniques I use when I’m having a rough day. Several of them feature in my Wellness Recovery Action Plan (WRAP).

It’s worth saying these are not fixes or solutions for anxiety, depression, or other mental health conditions although they might form part of a person’s wellness toolbox. They help me weather the ups and downs of life and I offer them on that basis.

1. Go for a Walk

I’ve written elsewhere about how important walking is to my wellbeing. It’s my go-to strategy when things are getting me down. Walking allows me to acknowledge whatever feelings are present for me, experience them, and then let them go. I sometimes use the “hot coals” technique I learned from Fran. I close my hand at my chest, taking hold of whatever feeling I wish to release. I extend my hand to the side and open it, palm down as I walk on. As silly as it might sound, it works. Try it next time you are feeling stuck.

2. Talk with a Friend

I’m fortunate to have a small number of friends I can turn to if I need to share what’s going on for me. I don’t find it easy to be vulnerable but with these few people I feel safe enough to be myself, knowing they will listen without judgement. There are few personal skills more important and healthy than the art of listening.

3. Write It Out

Writing features prominently in my Wellness Recovery Action Plan (WRAP). Apart from our two books and my blogging I’ve kept a daily journal since I was fourteen years old. For most of that time I wrote my diary each evening for the previous day. More recently I’ve started capturing my thoughts in the morning and at various times throughout the day. This means my diary is more of an in-the-moment account of how I’m feeling than an historic account of “how I felt yesterday.” Although journaling is an important part of my wellness regime I occasionally find myself trapped in an unhealthy cycle of introspection. To break the pattern I might challenge myself not to write any more about a certain person or situation until something specific changes.

4. Distract Yourself

Distraction is a core strategy of Dialectical behaviour therapy (DBT); others are self-soothing, improving the moment, and pros and cons. My friend and fellow mental health blogger Aimee Wilson has written extensively about distraction in a DBT context on her blog I’m NOT Disordered. According to Aimee,

Distraction can include writing and other creative activities, reading, beauty treatments, really anything that can take your attention away from what is bothering you. It is important not to overuse this or it can become avoidance.

I find distraction techniques help when I’m feeling stuck or overwhelmed, especially if other approaches aren’t working. Recently I’ve distracted myself by listening to the BBC News channel when I’m at work or at home in the evening. I can understand that for many people the barrage of world affairs might be upsetting or triggering but it stops me obsessing about things that are troubling me. Music can have a similar effect although I’m careful what I choose to listen to in case it exacerbates how I’m feeling rather than providing relief.

5. Escape for a Bit

Escape is similar to distraction except that the intention is to consciously set the difficult situation aside and find comfort and solace elsewhere for a while. Movies and television shows work well for me, especially when Fran and I watch DVDs or Netflix together online. For an hour or two we can put everything on hold and immerse ourselves in whatever we are watching. This doesn’t fix things but it allows time for my emotions and thoughts to settle and for fresh ideas to emerge. Taking a break from social media can have the same effect.

6. Reward Yourself

I’ve written elsewhere how important it is to recognise and celebrate our successes. That said, when I’m low or upset it’s hard to believe I’m worthy of reward because my default is to blame myself for whatever’s gone wrong. My friend Jen reminded me that no matter what’s happening I can take responsibility and reward myself for that.

What about playdates, Marty? Do you have playdates with yourself? Take yourself to a movie, or to dinner, or to a good bookstore?

This doesn’t work too well if my underlying mood is very low; rather than celebrate I’m likely to spend the time brooding. But if I’ve begun to shift things using some of the other techniques, treating myself can help move me forward.

7. Find Solid Ground

When I’m overwhelmed it can be hard to find a stable point of reference. Paying attention to my day-to-day routine helps but it’s not always enough to get me to a place where I feel grounded and secure. When other techniques fail I sometimes attempt to “jolt myself” back to a time or place when I felt more stable. Music from a particular period in my life can work, as can looking through old photographs or reading my journal from years ago. The aim is to get my feet under me again and then return to the present to face whatever is going on from that place of stability and safety.

8. Change Something

Changing even one small aspect of your situation can affect how you feel. When I’m low or stressed I take less interest in my appearance. Sorting out a nice shirt and my favourite tweed jacket in the morning can be all it takes to shift my mood in a positive direction. Get out of the house if you’ve been stuck inside. Try a different café or even a different table at your regular place. Drive or walk an alternate route to work or to the store. Talk to someone other than the people you usually turn to.

9. Accept How It Is

Despite having all the techniques at your fingertips, sometimes nothing can turn the day around. Processing, talking, escaping, distracting, rewarding — they all take time, energy, and focus and sometimes you just can’t. All you can do is accept you’re having a rubbish day and handle it as safely as you can. Cry, scream, grumble, isolate — whatever it takes to get you through. The very act of “giving up” can help shift your mood. It may not, but it’s worth a try.

10. Go to Bed!

If you’ve made it to the evening — or even the middle of the afternoon — and things are still looking grim, sometimes the best option is to turn your back on the rest of the day and turn in. Tomorrow is a new day and maybe things will look different in the morning.

I’ve shared some of the techniques I use to turn the day around. What works for you? I’d love to hear your thoughts, experiences and ideas!

 

Wednesday, 27 February 2019

One Step at a Time: Walking for Wellness, Walking for Me

When I’m happy, I walk.
When I’m sad, or lonely or lost.
When I’m hurting, or numb.
When there’s too much to think about
Or nothing on my mind.
I walk.

Walking has played an important role in my life for as long as I can remember. So much so that it was one of the first things I included in the wellness tools section of my Wellness Recovery Action Plan (WRAP). It’s also made its way into my writing more often than I’d realised until I began writing this article. (The idea for this piece came to me whilst, wait for it, walking into work one morning a few weeks ago.)

My family never owned a car, so when I was growing up in Liverpool if I wanted to go somewhere it was catch the bus or walk. From the age of eleven I walked thirty or forty minutes each way to and from school, lost in my thoughts about whatever was going on for me at the time. In my late teens I remember going for Sunday evening walks to West Derby village and back, a round trip of maybe an hour and a half at my ambling, contemplative pace.

About that time I started going on the Ramblers’ Association (now The Ramblers) public walks every couple of months with my aunt and her friend. I loved the exercise and the sense of freedom, being out on the hills. The people were lovely but I mostly kept my own counsel and walked separately the rest. There was one exception, a lady whose name escapes me some forty years on. Her spirit is captured, however, in one of my poems from that time.

Song to the high hills

Take my hand offered
across streams
we jump
that trickle your laughter
down the savage fen.
Share with me one day’s
journey
in this weird land,
where even the spring shuns
the mark of our
trespass
and unnamed birds cast down
forsaken echoes
from the high hills above us.
Do you not see
the whole earth bleeding …
distant mountains burn
a venous red
and at our feet
the bare rocks haemorrhage,
oozing lichen up from unseen wounds.
Believe me,
cares that clothe us
city-bound
will fall
today
like autumn leaves
       that colour in your hair
come winter’s purge.
And yet, in all of this,
a little rain might mark my sadness
sevenfold
to court you but a day
—surely inhibition falters
as we share the innocence
of exploration together.

Innocence tempting revelation.

From: Collected Poems: 1977–1984.

I joined the hiking club at university but didn’t keep it up. I do recall one hike with friends across Ilkley Moor during a thunderstorm that painted the sky in all manner of crazy hues. Instead, I took to taking urban walks on my own, mostly early in the morning. A favourite route took me out of town to a park where I would sit a while by the lake before making my way back for lectures. One day I went further than I intended and got myself a bit lost. I remember taking my shoes off and walking part of the way back barefoot across a golf course in the rain. A different early walk, along a derelict railway to the local park, was captured in another of my poems.

The Bunch of Wild Flowers

this morning
as you slept in his arms
I wandered,
picked you flowers white as sonnets
early in the morning
where the lonely go
and lovers wonder)

stirring in your arms he
tasted autumn in your hair
ascent of flowers,
brushed away the cobwebs or a dream
and (plucked one throbbing rose as red as
kisses
early in the garden
where the lovers grow
within each other’s arms

And bore you welcomes wild
of flowers truer than all orchids
my love
this morning as you slept
in his arms I wandered
gathering poems deep as daisies
early in the morning
where the lovers
go,

From: Collected Poems: 1977–1984.

Urban or rural, walking for me has always been about space: space in which to think or not think, depending on what I most need at the time. It is my instinctive response to uncertainty, challenge, and loss. When I got the news that PJ, a dear friend from university days, had died my instinctive reaction was to get out of the house and walk. It didn’t matter where, I just needed to be moving. (Years later, that one evening of loss is imprinted on these local streets, although I’ve added many overlying layers of other days, people and memories in the intervening years.) A week or so later I took the day off work and went to the coast for a solitary hike, long enough to try and process the fact that my friend was no longer here. After my mother died I walked by Crosby Marina the evening of her funeral. The words that came to me are, perhaps, a poem. If so, it is the first I’ve written in many years.

Wandering
Wondering

How do I feel
What do I feel

Release
Relief

Re birth

Stillness
Silence

Un known
Un homed

Un tethered

Still
Calm

Centred (thank you

— Liverpool, March 26, 2018

I mostly prefer to walk alone but there have been times when I’ve taken a trusted friend along. One of my dearest memories of PJ is of walking her home in the snow one dark winter night. Years later I recall another walk in the snow with a different friend, when we got seriously lost on Wimbledon Common. The walk Fran and I took around Beaulieu in 2013 when we met in person for the first time was, quite simply, precious.

We walked, and talked, and took photos of the Abbey and gardens, and went on the monorail and the old open-top bus, and walked some more, and sat, and talked some more. It was amazing—and the most natural thing in the world. If we were a little shy it didn’t show. We were just two friends out together enjoying the day.

From: High Tide, Low Tide, The Caring Friend’s Guide to Bipolar Disorder.

Walks by the sea are special. I spent six months in Norwich on placement from university. One Sunday I drove to the coast with one of the other students for an hour or so walking on the shore.

(In the Depths of) Singing

Down the western reaches of the sea i
findme walking with a friend,
wind and seasalt wildly in the sky, you on
my mind. Late november: pebbles in a
wilderness of oceans and a fulling moon.

Something like the flesh of friends too
raw for touching walkwe. Two
investigating puddles. Our togetherness apart
we wander down our dreams while all the
waves one water can involve strike
sparks about our feet. From flints we
gather in the night.
We gather. In the

(o i love the waves that break upon
me like you)

nightly

From: Collected Poems: 1977–1984.

That memory sparks another. One morning long ago when I ought to have been at work but instead spent the day on the beach walking with a friend who understood that sometimes shared solitude is just what is needed.

A few years ago I paddled in the sea along Long Sands Beach at Whitley Bay here in the north-east. At first it was cold. Then my feet went numb. I probably should have come out at that point but I kept going to the point when my feet were hurting with cold. I got out of the water, dried my feet, and put my thick socks and boots on, expecting my feet to warm through within a few minutes. They took so long to thaw out I was beginning to think I had caused some serious damage. I have paddled in the sea several times since then, but not in quite such extreme conditions.

Over time, regular walking routes become saturated with memories. The best example of that is the walk I take each evening when on holiday at the Cumbrian cottage my family have rented for the past twenty years or so. So rich are the echoes of the people and situations I’ve brought with me in mind and heart over the years that I’ve named it Memory Lane. Fran has accompanied me on that walk many times via the magic of Skype. A few other friends have done the same.

I have done a few sponsored walks. When I was at school I organised a twenty mile walk for friends in aid of the World Wildlife Fund. I think only two of us completed the task but we did raise some money. More recently I have done the Alzheimer’s Society Memory Walk a couple of times, and taken part in the NAMI Maine Walk, accompanying Fran from 3,000 miles away. Last December I took part in the Jingle Bell Walk to raise money for children’s cancer charity The Chris Lucas Trust.

Returning to my solo walks and their place in my wellbeing, the best example is the walk I took almost every evening during the summer of 2013 when Fran was traveling in Europe. Those walks were part of my wellness plan for that period, which was the most challenging we’d faced as friends and one of the most traumatic Fran had ever experienced.

That wellness plan developed into the Wellness Recovery Action Plan I mentioned at the start of this article. It is a living document and will grow with me as my needs change, but I cannot imagine walking not being in there as one of my key wellness tools.

Well, this article has turned out to be rather long and rambling, much like many of my walks!

I will close with another passage from our book, because short or long every walk starts out as a single step, then another, then another. And where steps are concerned, size and speed are not always the most important things. The important thing is to keep moving.

As we like to say, baby steps are steps too.

This is one of our favourite [sayings]. It reminds us to stay focused in the present moment, to take life one step at a time, and to acknowledge that even the smallest advance counts as progress. Fran is very goal-oriented, and becomes frustrated if she seems to be straying off course or failing to make fast enough progress. In depression, this can reach a point where she despairs of ever achieving her targets or even progressing further towards them. At such times, “Baby steps are steps too” reminds her that she rarely stays stuck for long. She will try new ideas, or re-visit old ones, until something happens to move her forward.

From: High Tide, Low Tide, The Caring Friend’s Guide to Bipolar Disorder.